Presentation
Abstract Treatment with an unconventional double osteotomy of the pelvis in a 9-year-old girl with recurrent anterior hip subluxation after hip reconstruction in cerebral palsy is presented. [ncbi.nlm.nih.gov]
In the present series abduction braces permitted the replacement of the femoral head in its proper position and retained it there. The results were excellent in 32 of the 35 cases. [jamanetwork.com]
Entire Body System
-
Cerebral Palsy
Hip subluxation is common in children with spastic cerebral palsy. Most physicians favor intervention to treat hip subluxation in skeletally immature patients with cerebral palsy. [ncbi.nlm.nih.gov]
-
Collapse
Patients in whom osteonecrosis is diagnosed at six weeks are at risk for collapse and joint degeneration, and they should be advised against returning to sports. [ncbi.nlm.nih.gov]
Although the lesion did not have the typical characteristics of osteonecrosis with regard to location, subchondral collapse or the double line sign, [4], [5] we did not feel comfortable eliminating AVN as a diagnostic possibility, until the lesion resolved [ijoonline.com]
-
Wound Infection
Postsurgical morbidity included delay in osteotomy healing, wound infection and sciatic nerve damage. [ncbi.nlm.nih.gov]
Respiratoric
-
Aspiration
Patients in whom large hemarthroses are diagnosed on magnetic resonance images should undergo acute aspiration, and all players should be treated with a six-week regimen of toe-touch weight-bearing with use of crutches. [ncbi.nlm.nih.gov]
Careful clinico-radiological assessment and emergent aspiration reduces joint pressure and the evaluation of the aspirate can be instrumental to diagnose or rule out transient synovitis. [jrmds.in]
Musculoskeletal
-
Joint Subluxation
This is a demonstration of how the faulty connective tissue makes my hip joint subluxate or dislocate. This is because Ehlers Danlos Syndrome causes your ligaments (that hold the joints together) to be abnormally stretchy. [youtube.com]
Conclusions Selective dorsal rhizotomy is more likely to have a positive effect or no effect on hip joint subluxation rather than to have a negative effect. [thejns.org]
A joint subluxation is another way of describing what people often call a partial dislocation. In the case of the hip joint, it means the ball started to come out of the socket but did not come fully out or dislocate. [verywellhealth.com]
-
Skeletal Dysplasia
Abstract We report a case of Dyggve-Melchior-Clausen syndrome, a skeletal dysplasia with short trunk dwarfism and mental retardation. A Chiari pelvic osteotomy was performed to halt hip subluxation on both sides. [ncbi.nlm.nih.gov]
-
Limited Hip Abduction
Using limited hip abduction of or 30 degrees and subluxation of or 25% migration percentage as indications, patients had open adductor and iliopsoas lengthenings with immediate postoperative mobilization and no abduction bracing. [ncbi.nlm.nih.gov]
-
Leg Length Inequality
She had a leg length inequality with a positive Galeazzi sign, the right being shorter than the left. A subtle (less than 10 ) limitation of abduction of the right hip was noted; no instability was felt. [ncbi.nlm.nih.gov]
-
Muscle Contracture
These deformities include fixed muscle contractures, decreased hip joint range of motion, coxa valga, coxa anteverta, posterior-lateral and superior migration of the of the femoral head from the acetabulum, and oseous deformity of the posterior lateral [gait.aidi.udel.edu]
Neurologic
-
Radiculopathy
Work-up revealed anterolateral subluxation of the left femoral head along with left hip plexiform neurofibroma (PN), dysplastic and degenerative changes, neurofibromatous neuropathy and chronic left L5 radiculopathy. [ncbi.nlm.nih.gov]
Sirisha K...Rajasekhar L 2017 5 Proactive treatment of hip subluxation in cerebral palsy. ( 27343146 ) Bauer J 2016 6 Multifactorial pathological hip subluxation in neurofibromatosis type-1 (NF1) due to intra-articular plexiform neurofibroma, lumbar radiculopathy [malacards.org]
-
Polyneuropathy
Our patient, unlike those in other reports, illustrates multiple aetiologies of hip dislocation in NF1 including local factors, lumbar radiculopathy and polyneuropathy, reinforcing the importance of a multidisciplinary approach in the management of such [ncbi.nlm.nih.gov]
Proactive treatment of hip subluxation in cerebral palsy. ( 27343146 ) Bauer J 2016 6 Multifactorial pathological hip subluxation in neurofibromatosis type-1 (NF1) due to intra-articular plexiform neurofibroma, lumbar radiculopathy and neurofibromatous polyneuropathy [malacards.org]
Workup
This case highlights the importance of a complete radiographic workup for a potential traumatic hip subluxation. [ijoonline.com]
Common closed reduction methods include the Allis method and Stimson method. [20] Once reduction is completed management becomes less urgent and appropriate workup including CT scanning can be completed. [13] Post-reduction, people may begin early crutch-assisted [en.wikipedia.org]
Persistent or minimal improvement in symptoms following the injection should prompt either a repeat injection to confirm that the injection is intra-articular or further workup to search for other potential sources of pain. [academic.oup.com]
Treatment
Levels of ability, type and amount of equipment use and treatments were recorded every three months. At 30 and 60 months, the hips were X-rayed and the hip migration percentage was measured. [ncbi.nlm.nih.gov]
[…] of acquired hip subluxation in cerebral palsy. ( 3624476 ) Reimers J 1987 50 Treatment of acquired hip subluxation in cerebral palsy. ( 3711319 ) Houkom JA...Norris EN 1986 [malacards.org]
Prognosis
The only independent factor that affected prognosis after soft tissue release surgery was the preoperative AI. The preoperative AI values [ncbi.nlm.nih.gov]
The anatomy of the dysplastic hip in cerebral palsy related to prognosis and treatment / J. Vidal, P. Deguillaume, M. Vidal // International Orthopaedics (SICOT). — 1985. — Vol. 9. — P. 105–110. [otp-journal.com.ua]
PROGNOSIS FROM 30 MONTH DATA Data collected at 30 months correlated much better with the four year hip state (r 0.72) than those at 18 and 24 months (r 0.58). [adc.bmj.com]
Rosenbaum P, Walter SD, Hanna SE, Palisano RJ, Russel DJ, Parminder R, Wood E, Bartlett DJ, Galuppi B: Prognosis for gross motor function in children with cerebral palsy: creation of motor development curves. [bmcmusculoskeletdisord.biomedcentral.com]
Etiology
Perinatal observations on the etiology of congenital dislocation of the hip. Clin Orthop 119, 11-22. Iwasaki K (1983). Treatment of congenital dislocation of the hip by the Pavlik harness. Mechanism of reduction and usage. [oandplibrary.com]
The surgical treatment of hip microinstability should focus on addressing the underlying etiology and associated intra-articular pathology. [academic.oup.com]
Developmental Findings at birth Hip usually normal Hip usually abnormal Age at risk Usually normal in 1st year of life; recognized after age 2yr Most often recognized in 1st year of life Detection Radiographs needed in most cases Physical exam in most cases Etiology [orthobullets.com]
Epidemiology /Etiology Characteristics of patients with an increased risk of developing a luxation: female gender, alcohol abuse, various preoperative disorders and older age because decreased muscle mass reduces the stress on the hip prosthesis and decreases [physio-pedia.com]
Keywords: Hip dislocation/etiology; Hip dislocation/pathology; Hip dislocation/surgery; Cerebral palsy; Treatment outcome Introduction Hip dislocation or subluxation in non-ambulatory patients with spastic cerebral palsy can lead to pain, difficulties [scielo.br]
Epidemiology
Understanding the epidemiology, anatomy, difference between congenital and acquired, screening, treatments, and rehabilitation are all relevant to the topic. [icd.codes]
"Hip dislocations--epidemiology, treatment, and outcomes". Injury. 41 (4): 329–34. doi : 10.1016/j.injury.2009.08.007. PMID 19796765. Callaghan, John J.; Rosenberg, Aaron G.; Rubash, Harry E. (2007). The Adult Hip. [en.wikipedia.org]
The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg [Am] 2009 ;91-A:128–33. Google Scholar 24 Patel PD, Potts A, Froimson MI. The dislocating hip arthroplasty: prevention and treatment. [online.boneandjoint.org.uk]
Epidemiology /Etiology Characteristics of patients with an increased risk of developing a luxation: female gender, alcohol abuse, various preoperative disorders and older age because decreased muscle mass reduces the stress on the hip prosthesis and decreases [physio-pedia.com]
Stanley F, Blair E, Alberman E: Cerebral palsies: epidemiology and causal pathways. 2000, London: Mac Keith 21. Soo B, Howard JJ, Boyd R, Reid SM, Lanigan A, Wolfe R, Reddihough D, Graham K: Hip displacement in cerebral palsy. [bmcmusculoskeletdisord.biomedcentral.com]
Prevention
The possible relationship between subluxation and pelvic tilt also calls for better control of sitting posture to prevent pelvic tilt. [ncbi.nlm.nih.gov]
Prevention Children who have hip dysplasia should be treated for their condition. Avoiding high-impact sports may help to prevent some cases of hip dislocation. Other names for subluxation and dislocation of the hip Hip dislocation Hip subluxation [ada.com]